Individual
MR. EVERETT P. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 COMMONWEALTH DR, SUITE 300, GREENVILLE, SC 29615-4831
(864) 675-1190
Mailing address
135 COMMONWEALTH DRIVE, SUITE 230, 135 COMMONWEALTH WOMEN'S CARE, GREENVILLE, SC 29615
(864) 365-0250
(864) 365-0251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
111499
SC
Other
Enumeration date
09/26/2006
Last updated
05/09/2013
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